The nurse is caring for a neonate born with a myelomeningocele. Surgery to repair the defect is scheduled the next day. What is the most appropriate way to position and feed this neonate?

a. Prone with the head turned to the side
b. On the side
c. Supine in an infant carrier
d. Supine, with defect supported with rolled blankets


ANS: A
The prone position with the head turned to the side for feeding is the optimum position for the infant. It protects the spinal sac and allows the infant to be fed without trauma. The side-lying position is avoided preoperatively. It can place tension on the sac and affect hip dysplasia if present. The infant should not be placed in a supine position.

Nursing

You might also like to view...

A mother has brought her 6-year-old child to the clinic. The child has a fever of 102.8ºF and is diagnosed with the flu. What medication will the nurse suggest for this child?

A) Etanercept (Enbrel) B) Penicillamine (Depen) C) Acetaminophen (Tylenol) D) Aspirin (Bayer)

Nursing

When are qualitative data most likely to be collected?

A) Impact analysis B) Outcome analysis C) Process analysis D) Cost-benefit analysis

Nursing

Older adults are more likely to experience which of the following than younger patients when being administered medications?

A. adverse reactions B. resistance C. allergies D. tolerance

Nursing

What is the best indicator that the client is experiencing menopause?

1. Hot flashes and night sweats 2. No menses for 8 consecutive months 3. High serum follicle-stimulating hormone (FSH) with low serum estrogen 4. Diagnosis of osteoporosis 4 months ago

Nursing